产后盆底康复护理对女性盆底功能障碍的影响分析(1)
[摘要] 目的 探究产盆底康复护理对女性盆底功能障碍的影响。方法 方便选取该院2017年4月—2019年7月76例盆底功能障碍患者为研究对象，均实施低频电刺激治疗，将其随机分为常规组(38例，常规护理)、研究组(38例，常规护理+盆底康复护理)，比较两组患者护理效果。结果 两组患者护理干预前子宫脱垂发生率、尿失禁发生率、性生活滿意度、肌电压情况相近(P>0.05);护理干预后，研究组子宫脱垂率、尿失禁发生率分别为7.89%、5.26%，较常规组28.95%、26.32%低，性生活满意度为89.47%，较常规组65.79%高(χ2=5.604、6.333、6.138，P=0.018、0.012、0.013<0.05)，且肌电压较常规组高，差异有统计学意义(t=9.845、8.645，P<0.05)。 结论 对女性盆底肌功能障碍患者实施产后盆底康复护理，可降低其子宫脱垂、尿失禁发生率，并对改善盆底肌纤维能力、性生活满意度具积极影响。
[关键词] 盆底功能障碍;产后盆底康复护理;盆腔肌纤维
[中图分类号] R47 [文献标识码] A [文章编号] 1674-0742(2020)03(c)-0159-03
Impact of Postpartum Pelvic Floor Tehabilitation Nursing on Female Pelvic Floor Dysfunction
GAO Chun-yan
Department of Obstetrics and Gynecology， Shenxian Second People's Hospital， Shenxian， Shandong Province， 252423 China
[Abstract] Objective To explore the effect of pelvic floor rehabilitation nursing on female pelvic floor dysfunction. Methods 76 patients with pelvic floor dysfunction in the hospital from April 2017 to July 2019 were convenient election selected as the research objects. All patients were treated with low-frequency electrical stimulation. They were randomly divided into conventional group (38 cases， routine nursing) and research group (38 cases， routine nursing + pelvic floor rehabilitation nursing). The Results of nursing were compared between the two groups. Results The incidence of uterine prolapse， urinary incontinence， sexual life satisfaction， and muscle voltage were similar between the two groups of patients before nursing intervention(P>0.05). After the nursing intervention， the uterine prolapse rate and urinary incontinence rate in the study group were respectively 7.89% and 5.26%， lower than the conventional group 28.95%， 26.32%， sexual life satisfaction was 89.47%， higher than the conventional group 65.79% (χ2=5.604， 6.333， 6.138， P=0.018， 0.012， 0.013<0.05)， and the muscle voltage was higher than the conventional group， the difference was statistically significant (t=9.845， 8.645， P<0.05). Conclusion The postpartum pelvic floor rehabilitation care for female patients with pelvic floor muscle dysfunction can reduce the incidence of uterine prolapse and urinary incontinence， and has a positive impact on improving the pelvic floor muscle fiber capacity and sexual satisfaction.
[Key words] Pelvic floor dysfunction; Postpartum pelvic floor rehabilitation care; Pelvic muscle fibers
盆底功能障碍为临床常见疾病，发生原因与女性分娩后盆底损伤或盆底结构障碍诱发的功能障碍性疾病，诱发子宫脱垂、尿失禁等症状，不仅影响其性生活及生活质量，甚至对其生命安全造成严重威胁。盆底低频电刺激为盆底功能障碍主要治疗方式，可通过低频电流改善盆底肌纤维收缩能力，进而增强盆底肌对膀胱、子宫支撑能力，降低子宫脱垂及尿失禁发生率[1]。近年来大量研究表示，在盆底功能障碍低频电刺激治疗中实施盆底康复护理有利于加强治疗效果、改善盆底肌功能[2-3]。为此，该次方便选取该院2017年4月—2019年7月收治的76例盆底功能障碍患者开展随机对照研究，探究在低频电刺激治疗中联合盆底康复训练对患者子宫脱垂、尿失禁发生率、性生活满意度及盆底肌纤维肌电压情况，现报道如下。, 百拇医药(高春燕)
[关键词] 盆底功能障碍;产后盆底康复护理;盆腔肌纤维
[中图分类号] R47 [文献标识码] A [文章编号] 1674-0742(2020)03(c)-0159-03
Impact of Postpartum Pelvic Floor Tehabilitation Nursing on Female Pelvic Floor Dysfunction
GAO Chun-yan
Department of Obstetrics and Gynecology， Shenxian Second People's Hospital， Shenxian， Shandong Province， 252423 China
[Abstract] Objective To explore the effect of pelvic floor rehabilitation nursing on female pelvic floor dysfunction. Methods 76 patients with pelvic floor dysfunction in the hospital from April 2017 to July 2019 were convenient election selected as the research objects. All patients were treated with low-frequency electrical stimulation. They were randomly divided into conventional group (38 cases， routine nursing) and research group (38 cases， routine nursing + pelvic floor rehabilitation nursing). The Results of nursing were compared between the two groups. Results The incidence of uterine prolapse， urinary incontinence， sexual life satisfaction， and muscle voltage were similar between the two groups of patients before nursing intervention(P>0.05). After the nursing intervention， the uterine prolapse rate and urinary incontinence rate in the study group were respectively 7.89% and 5.26%， lower than the conventional group 28.95%， 26.32%， sexual life satisfaction was 89.47%， higher than the conventional group 65.79% (χ2=5.604， 6.333， 6.138， P=0.018， 0.012， 0.013<0.05)， and the muscle voltage was higher than the conventional group， the difference was statistically significant (t=9.845， 8.645， P<0.05). Conclusion The postpartum pelvic floor rehabilitation care for female patients with pelvic floor muscle dysfunction can reduce the incidence of uterine prolapse and urinary incontinence， and has a positive impact on improving the pelvic floor muscle fiber capacity and sexual satisfaction.
[Key words] Pelvic floor dysfunction; Postpartum pelvic floor rehabilitation care; Pelvic muscle fibers
盆底功能障碍为临床常见疾病，发生原因与女性分娩后盆底损伤或盆底结构障碍诱发的功能障碍性疾病，诱发子宫脱垂、尿失禁等症状，不仅影响其性生活及生活质量，甚至对其生命安全造成严重威胁。盆底低频电刺激为盆底功能障碍主要治疗方式，可通过低频电流改善盆底肌纤维收缩能力，进而增强盆底肌对膀胱、子宫支撑能力，降低子宫脱垂及尿失禁发生率[1]。近年来大量研究表示，在盆底功能障碍低频电刺激治疗中实施盆底康复护理有利于加强治疗效果、改善盆底肌功能[2-3]。为此，该次方便选取该院2017年4月—2019年7月收治的76例盆底功能障碍患者开展随机对照研究，探究在低频电刺激治疗中联合盆底康复训练对患者子宫脱垂、尿失禁发生率、性生活满意度及盆底肌纤维肌电压情况，现报道如下。, 百拇医药(高春燕)
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